George James Mendes, M.A, M.DIV., D.MIN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21871 Issued in FL

Practice address

4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832

Phone

(904) 269-0886

NPI assigned

Feb 13, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1558068379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 KERMIT CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657682",
            "telephone_number": "619-565-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17 STE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-269-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "GEORGE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.A, M.DIV., D.MIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mouhar McLendon, PTA
• Alyssa Gray McMillan
• Kira McPherson, RBT
• Maria D Meek, APRN
• Melissa Meisinger
• Mohammed Mendhi, MD
• Eduardo L Mesina, RPT
• Mind & Body Behavioral Health LLC
• Jeannie Mitchell, LMHC
• Shekinah Mitchell

• Mental Health Counselor in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.